- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $26,449.20 / $43,196.00
| Facility | | $6,303.00 | $26,449.20 | $43,196.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,933.25 / $48,045.20 / $64,466.29
| Facility | | $34,933.25 | $48,045.20 | $64,466.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,621.68 / $39,305.17 / $55,099.40
| Facility | | $28,621.68 | $39,305.17 | $55,099.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,917.76 / $43,652.80 / $55,031.91
| Facility | | $24,917.76 | $43,652.80 | $55,031.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,917.76 / $44,016.18 / $57,718.36
| Facility | | $24,917.76 | $44,016.18 | $57,718.36 |